Defekti preddvornega pretina
Arterial septal defects

slovenian

2008

volume 47, issue 1

Heart Septal Defects, Atrial    Classification    Diagnosis    Therapy    Electrocardiography    heart    Thoracic Radiography   Echocardiography    Heart Catheterization   diagnostika

Društvo Medicinski razgledi
(Obvezni izvod spletne publikacije)

Atrial septal defect (ASD) is one of the most common congenital heart diseases. It is an opening in the interatrial septum that permits shunting of blood between the left and right atrium, thus leading to right heart volume overload. Four types of ASD are recognized, with ASD type secundum being the most frequent. Patients remain asymptomatic for many years and may be first diagnosed in adulthood. The symptoms of ASD are nonspecific, but typical auscultatory findings or a pathological electrocardiogram or chest X-ray may draw attention to the diagnosis. Echocardiography is the method of choice for the diagnosis of ASD. It enables the doctor to establish the presence of the defect, its location and hemodynamic significance, as well as other associateddefects. All hemodynamically significant defects require closure. Percutaneous closure using special devices is the therapy of choice in appropriate cases of ASD type secundum, whereas all other defects require surgical closure.

24.06.2015